than a physician or other healthcare prider who has seen the child only for ep sod i can care so some of the questions of access for diagnosis is principlely made in a medical context. there are issues of access here. >> so if a family did not have primary care physicians for both themselves and their children, then it is possible that there might be a later diagnosis than if they had this ongoing care all along? >> i think creates -- this is there are obviously many challenges to making this diagnosis. this adds to the challenges for the family and healthcare providers in doing that. >> let me ask this question, once diagnosed individuals with autism disorderers have average medical expenditures between four and six times greater than the rest of the population. the harvard school of public health estimated it can cost $3.2 million to care for an individual with autism over the course of a lifetime. although insurance covers some of these costs, intensive behavior they are piss often paid out of pocket can cost as much as $60,000 per yeerp. the families are are average of limited mea